Yıl: 2023 Cilt: 47 Sayı: 5 Sayfa Aralığı: 469 - 477 Metin Dili: İngilizce DOI: 10.55730/1300-0128.4315 İndeks Tarihi: 23-11-2023

Evaluation of the effects of ghrelin and metformin on sperm parameters, testosterone hormones, and immunohistochemical and immunofluorescent markers in an experimental diabetes model

Öz:
Testicular dysfunction, a severe secondary complication of diabetes, negatively affects reproductive health. Ghrelin is a peptide that plays a role in many metabolic events, such as stimulating growth hormones and regulating appetite, blood pressure, and reproduction. Metformin has antiinflammatory and antioxidant properties and is widely used to treat type 2 diabetes. Therefore, in this study, to investigate the effects of ghrelin and metformin on testicular function in experimental diabetic rats given streptozotocin, placed on a high-fat diet, and that had their sperm parameters evaluated, testosterone hormone, caspase 3 and iNOS expression, and histopathological examinations were performed. In total, 38 Wistar albino male rats were randomized into 4 groups (a control group, diabetes group, diabetes + ghrelin group, and diabetes + metformin group) with different numbers. It was determined that spermatozoa concentration, motility, and testosterone levels were lower (p < 0.001), caspase 3 and iNOS expression levels (p < 0.05) were higher, and abnormal sperm rates were higher (p < 0.001) in the diabetic group compared to the other groups. Metformin and ghrelin administered to the diabetes group increased spermatozoa concentration, motility, and testosterone levels (p < 0.001) and decreased caspase 3 and iNOS expression levels, as well as abnormal sperm rates (p < 0.05). Based on these findings, we propose that ghrelin and metformin can be used to protect reproductive health in testicular dysfunction caused by diabetes.
Anahtar Kelime: Caspase 3 iNOS ghrelin metformin sperm

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Atta MS, Almadaly EA, El-Far AH, Saleh RM, Assar DH et al. Thymoquinone defeats diabetes-induced testicular damage in rats targeting antioxidant, inflammatory and aromatase expression. International Journal of Molecular Sciences 2017; 18 (5): 919. https://doi.org/10.3390/ijms18050919
  • 2. Shaikh H, Shrivastava VK, Amir M. Diabetes mellitus and impairment of male reproductive function: role of hypothalamus pituitary testicular axis and reactive oxygen species. Iranian journal of Diabetes and Obesity 2017; 8 (1): 41-50.
  • 3. Elseed MY, Gaber M, Shatla IM, Abdrabbou RM. Protective effect of ghrelin on testicular functions in adult male diabetic albino rats. Al-Azhar Medical Journal 2016; 45 (1): 195-208. https://doi.org/10.12816/0026285
  • 4. Ibrahim MN, Asalah AK, Abd-Alaleem DI, Moursi SMM. Effect of ghrelin on testicular functions in streptozotocin induced type 1 diabetic rats. Zagazig University Medical Journal 2014; 20 (2): 312-326. https://doi.org/10.21608/ZUMJ.2014.4358
  • 5. Sönmez MF, Karabulut D, Kiliç E, Akalin H, Sakalar C et al. The effects of streptozotocin-induced diabetes on ghrelin expression in rat testis: biochemical and immunohistochemical study. Folia Histochemica et Cytobiologica 2015; 53 (1): 26-34. https://doi. org/10.5603/FHC.a2015.0006
  • 6. Nna VU, Abu Bakar AB, Ahmad A, Eleazu CO, Mohamed M. Oxidative stress, NF-κB-mediated inflammation and apoptosis in the testes of streptozotocin-induced diabetic rats: Combined protective effects of Malaysian propolis and metformin. Antioxidants 2019a; 8(10): 465. https://doi.org/10.3390/ antiox8100465
  • 7. Dupont J, Maillard V, Coyral-Castel S, Ramé C, Froment P. Ghrelin in female and male reproduction. International Journal of Peptides 2010; 158102. https://doi.org/10.1155/2010/158102
  • 8. Dutta S, Biswas A, Sengupta P, Nwagha U. Ghrelin and male reproduction. Asian Pacific Journal of Reproduction 2019; 8(5): 227-232. https://doi.org/10.4103/2305-0500.268144
  • 9. Barreiro ML, Gaytan F, Castellano JM, Suominen JS, Roa J et al. Ghrelin inhibits the proliferative activity of immature Leydig cells in vivo and regulates stem cell factor messenger ribonucleic acid expression in rat testis. Endocrinology 2004; 145 (11): 4825- 4834. https://doi.org/10.1210/en.2004-0732
  • 10. Tena-Sempere M, Barreiro ML, González LC, Gaytán F, Zhang F-P et al. Novel expression and functional role of ghrelin in rat testis. Endocrinology 2022; 143 (2): 717-725. https://doi. org/10.1210/endo.143.2.8646
  • 11. DE Magalhães DA, Kume WT, Correia FS, Queiroz TS, Allebrandt Neto EW et al. High-fat diet and streptozotocin in the induction of type 2 diabetes mellitus: A new proposal. Anais da Academia Brasileira de Ciências 2019; 91 (1): e20180314. https:// doi.org/10.1590/0001-3765201920180314
  • 12. van Losenoord W, Levendal RA, Frost CL. Cannabis and metformin on diabetic male Wistar rat sperm and reproductive organ parameters. Journal of Diabetes and Metabolic Disorders 2022; 21 (2): 1451-1458. https://doi.org/10.1007/s40200-022- 01079-z
  • 13. Kim SH, Kim SC, Ku JL. Metformin increases chemosensitivity via gene downregulation encoding DNA replication proteins in 5-Fu resistant colorectal cancer cells. Oncotarget 2017; 8 (34): 56546-56557. https://doi.org/10.18632/oncotarget.17798
  • 14. Park MJ, Lee SY, Moon SJ, Son HJ, Lee SH et al. Metformin attenuates graft-versus-host disease via restricting mammalian target of rapamycin/signal transducer and activator of transcription3 and promoting adenosine monophosphate- activated protein kinase-autophagy for the balance between T helper 17 and Treges. Translational Research 2016; 173: 115- 130. https://doi.org/10.1016/j.trsl.2016.03.006
  • 15. Saisho Y. Metformin and inflammation: Its potential beyond glucose-lowering effect. Endocrine, Metabolic & Immune Disorders Drug Targets 2015; 15 (3): 196-205. https://doi.org/ 10.2174/1871530315666150316124019
  • 16. Zhang S, Xu H, Yu X, Wu Y, Sui D. Metformin ameliorated diabetic nephropathy in a rat model of low-dose streptozotocin- induced diabetes. Experimental and Therapeutic Medicine 2017; 14 (1): 383-390. https://doi.org/10.3892/etm.2017.4475
  • 17. Pernicova I, Korbonits M. Metformin–mode of action and clinical implications for diabetes and cancer. Nature Reviews Endocrinology 2014; 10 (3): 143-56. https://doi.org/10.1038/ nrendo.2013.256
  • 18. Tan MH, Alquraini H, Mizokami-Stout K, MacEachern M. Metformin: From research to clinical practice. Endocrinology and Metabolism Clinics of North America 2016; 45 (4): 819- 843. https://doi.org/10.1016/j.ecl.2016.06.008
  • 19. Faure M, Bertoldo M J, Khoueiry R, Bongrani A, Brion F et al. Metformin in reproductive biology. Frontiers in Endocrinology 2018; 9: 675. https://doi.org/10.3389/fendo.2018.00675
  • 20. Derkach KV, Bakhtyukov AA, Romanova IV, Zorina II, Bayunova LV et al. The effect of metformin treatment on the basal and gonadotropin-stimulated steroidogenesis in male rats with type 2 diabetes mellitus. Andrologia 2020; 52 (11): e13816. https://doi.org/10.1111/and.13816
  • 21. Naghibi M, Nasrabadi HT, Rad JS, Farashah MSG, Mohammadnejad D. The effects of metformin and forskolin on sperm quality parameters and sexual hormones in type II diabetic male rats. Andrologia 2022; 54 (7): 1605-1617. https://doi.org/10.1111/and.14426
  • 22. Furman BL. Streptozotocin induced diabetic models in mice and rats. Current Protocols in Pharmacology 2015; 70: 5.47.1- 5.47.20. https://doi.org/10.1002/0471141755.ph0547s70
  • 23. Qiu WC, Wang ZG, Lv R, Wang WG, Han XD et al. Ghrelin improves delayed gastrointestinal transit in alloxan-induced diabetic mice. World Journal of Gastroenterology 2008; 14 (16): 2572-2577. https://doi.org/10.3748/wjg.14.2572
  • 24. Alhaider AA, Korashy HM, Sayed-Ahmed MM, Mobark M, Kfoury H et al. Metformin attenuates streptozotocin-induced diabetic nephropathy in rats through modulation of oxidative stress genes expression. Chemico-Biological Interactions 2011; 192 (3): 233-242. https://doi.org/10.1016/j.cbi.2011.03.014
  • 25. Belhan S, Yıldırım S, Karasu A, Kömüroğlu AU, Özdek U. Investigation of the protective role of chrysin within the framework of oxidative and inflammatory markers in experimental testicular ischaemia/reperfusion injury in rats. Andrologia 2020; 52 (9): e13714. https://doi.org/10.1111/ and.13714
  • 26. Aksu EH, Akman O, Özkaraca M, Ömür AD, Uçar, Ö. Effect of Maclura pomifera extract against cisplatin induced damage in reproductive system of male rats. Journal of the Faculty of Veterinary Medicine Kafkas University 2015; 21(3): 397-403
  • 27. Turk G, Atessahin A, Sonmez M, Ceribasi AO, Yuce A. Improvement of cisplatin induced injuries to sperm quality, the oxidant–antioxidant system, and the histologic structure of the rat testis by ellagic acid. Fertility and Sterility 2008; 89: 1474- 1481. https://doi.org/10.1016/j.fertnstert.2007.04.059
  • 28. Köktürk M, Yildirim S, Yiğit A, Ozhan G, Bolat İ et al. What is the eco-toxicological level and effects of graphene oxide-boramidic acid (GO-ED-BA NP)?: In vivo study on zebrafish embryo/ larvae. Journal of Environmental Chemical Engineering 2022; 10 (5): 108443. https://doi.org/10.1016/j.jece.2022.108443
  • 29. Sulukan E, Şenol O, Baran A, Kankaynar M, Yıldırım S et al. Nano-sized polystyrene plastic particles affect many cancer- related biological processes even in the next generations; zebrafish modeling. Science of The Total Environment 2022; 838 (Pt 3): 156391. https://doi.org/10.1016/j.scitotenv.2022.156391
  • 30. Nna VU, Abu Bakar AB, Ahmad A, Mohamed M. Down- regulation of steroidogenesis-related genes and its accompanying fertility decline in streptozotocin-induced diabetic male rats: Ameliorative effect of metformin. Andrology 2019b; 7 (1): 110-123. https://doi.org/10.1111/andr.12567
  • 31. Sayed MM, Abd El-Rady NM, Gomaa WMS, Hosny A, Gomaa AMS. Antioxidant, antiapoptotic, and antifibrotic abilities of L-Arginine ameliorate the testicular dysfunction in diabetic rats. Tissue and Cell 2023; 82: 102036. https://doi.org/10.1016/j. tice.2023.102036
  • 32. Hamden K, Jaouadi B, Carreau S, Aouidet A, El-Fazaa S et al. Potential protective effect on key steroidogenesis and metabolic enzymes and sperm abnormalities by fenugreek steroids in testis and epididymis of surviving diabetic rats. Archives of Physiology and Biochemistry 2010; 116 (3): 146-155. https:// doi.org/10.3109/13813455.2010.486405
  • 33. Salimnejad R, Soleimani Rad J, Mohammad Nejad D, Roshangar L. Effect of ghrelin on total antioxidant capacity, lipid peroxidation, sperm parameters and fertility in mice against oxidative damage caused by cyclophosphamide. Andrologia 2018; 50 (2): e12883. https://doi.org/10.1111/and.12883
  • 34. Dallak M. Unacylated ghrelin stimulates steroidogenesis in lean rats and reverses reproductive dysfunction in high fat diet-fed rats. Systems Biology in Reproductive Medicine 2019; 65 (2): 129-146. https://doi.org/10.1080/19396368.2018.1523971
  • 35. Ramírez ND, Luque EM, Jones XM, Torres PJ, Espinoza MJM et al. Modulatory effects of ghrelin on sperm quality alterations induced by a fructose-enriched diet. Heliyon 2019; 5 (11): e02886. https://doi.org/10.1016/j.heliyon.2019.e02886
  • 36. Chen VP, Gao Y, Geng L, Parks RJ, Pang YP et al. Plasma butyrylcholinesterase regulates ghrelin to control aggression. Proceedings of the National Academy of Sciences of the United States of America 2015; 112 (7): 2251-2256. https://doi. org/10.1073/pnas.1421536112
  • 37. Khorasani MK, Ahangarpour A, Khorsandi L. Effects of crocin and metformin on methylglyoxal-induced reproductive system dysfunction in diabetic male mice. Clinical and Experimental Reproductive Medicine 48(3), 221-228. https://doi.org/10.5653/ cerm.2020.04259
  • 38. Rashid K, Sil PC. Curcumin ameliorates testicular damage in diabetic rats by suppressing cellular stress-mediated mitochondria and endoplasmic reticulum-dependent apoptotic death. Biochimica et Biophysica Acta 2015; 1852(1): 70-82. https://doi.org/10.1016/j.bbadis.2014.11.007
  • 39. Wang Y, Zhang Z, Guo W, Sun W, Miao X et al. Sulforaphane reduction of testicular apoptotic cell death in diabetic mice is associated with the upregulation of Nrf2 expression and function. American Journal of Physiology 2014; 307(1): E14-E23. https://doi.org/10.1152/ajpendo.00702.2013
  • 40. Kushwaha S, Jena GB. Telmisartan ameliorates germ cell toxicity in the STZ-induced diabetic rat: Studies on possible molecular mechanisms. Mutation Research 2013; 755 (1): 11- 23. https://doi.org/10.1016/j.mrgentox.2013.04.013
  • 41. Nna VU, Abu Bakar AB, Ahmad A, Mohamed M. Diabetes- induced testicular oxidative stress, inflammation, and caspase dependent apoptosis: the protective role of metformin. Archives of Physiology and Biochemistry 2020; 126 (5): 377-388. https:// doi.org/10.1080/13813455.2018.1543329
  • 42. Zhang Y, Ying B, Shi L, Fan H, Yang D et al. Ghrelin inhibit cell apoptosis in pancreatic beta cell line HIT-T15 via mitogen- activated protein kinase/phosphoinositide 3-kinase pathways. Toxicology 2007; 237(1-3): 194-202. https://doi.org/10.1016/j. tox.2007.05.013
  • 43. Granado M, Chowen JA, García-Caceres C, Delgado-Rubín A, Barrios V et al. Ghrelin treatment protects lactotrophs from apoptosis in the pituitary of diabetic rats. Molecular and Cellular Endocrinology 2009; 309(1-2): 67-75. https://doi. org/10.1016/j.mce.2009.06.006
APA Belhan S, Huyut Z, yildirim S, ergül erkeç ö, özdek u (2023). Evaluation of the effects of ghrelin and metformin on sperm parameters, testosterone hormones, and immunohistochemical and immunofluorescent markers in an experimental diabetes model. , 469 - 477. 10.55730/1300-0128.4315
Chicago Belhan Saadet,Huyut Zübeyir,yildirim Serkan,ergül erkeç özlem,özdek uğur Evaluation of the effects of ghrelin and metformin on sperm parameters, testosterone hormones, and immunohistochemical and immunofluorescent markers in an experimental diabetes model. (2023): 469 - 477. 10.55730/1300-0128.4315
MLA Belhan Saadet,Huyut Zübeyir,yildirim Serkan,ergül erkeç özlem,özdek uğur Evaluation of the effects of ghrelin and metformin on sperm parameters, testosterone hormones, and immunohistochemical and immunofluorescent markers in an experimental diabetes model. , 2023, ss.469 - 477. 10.55730/1300-0128.4315
AMA Belhan S,Huyut Z,yildirim S,ergül erkeç ö,özdek u Evaluation of the effects of ghrelin and metformin on sperm parameters, testosterone hormones, and immunohistochemical and immunofluorescent markers in an experimental diabetes model. . 2023; 469 - 477. 10.55730/1300-0128.4315
Vancouver Belhan S,Huyut Z,yildirim S,ergül erkeç ö,özdek u Evaluation of the effects of ghrelin and metformin on sperm parameters, testosterone hormones, and immunohistochemical and immunofluorescent markers in an experimental diabetes model. . 2023; 469 - 477. 10.55730/1300-0128.4315
IEEE Belhan S,Huyut Z,yildirim S,ergül erkeç ö,özdek u "Evaluation of the effects of ghrelin and metformin on sperm parameters, testosterone hormones, and immunohistochemical and immunofluorescent markers in an experimental diabetes model." , ss.469 - 477, 2023. 10.55730/1300-0128.4315
ISNAD Belhan, Saadet vd. "Evaluation of the effects of ghrelin and metformin on sperm parameters, testosterone hormones, and immunohistochemical and immunofluorescent markers in an experimental diabetes model". (2023), 469-477. https://doi.org/10.55730/1300-0128.4315
APA Belhan S, Huyut Z, yildirim S, ergül erkeç ö, özdek u (2023). Evaluation of the effects of ghrelin and metformin on sperm parameters, testosterone hormones, and immunohistochemical and immunofluorescent markers in an experimental diabetes model. Turkish Journal of Veterinary and Animal Sciences, 47(5), 469 - 477. 10.55730/1300-0128.4315
Chicago Belhan Saadet,Huyut Zübeyir,yildirim Serkan,ergül erkeç özlem,özdek uğur Evaluation of the effects of ghrelin and metformin on sperm parameters, testosterone hormones, and immunohistochemical and immunofluorescent markers in an experimental diabetes model. Turkish Journal of Veterinary and Animal Sciences 47, no.5 (2023): 469 - 477. 10.55730/1300-0128.4315
MLA Belhan Saadet,Huyut Zübeyir,yildirim Serkan,ergül erkeç özlem,özdek uğur Evaluation of the effects of ghrelin and metformin on sperm parameters, testosterone hormones, and immunohistochemical and immunofluorescent markers in an experimental diabetes model. Turkish Journal of Veterinary and Animal Sciences, vol.47, no.5, 2023, ss.469 - 477. 10.55730/1300-0128.4315
AMA Belhan S,Huyut Z,yildirim S,ergül erkeç ö,özdek u Evaluation of the effects of ghrelin and metformin on sperm parameters, testosterone hormones, and immunohistochemical and immunofluorescent markers in an experimental diabetes model. Turkish Journal of Veterinary and Animal Sciences. 2023; 47(5): 469 - 477. 10.55730/1300-0128.4315
Vancouver Belhan S,Huyut Z,yildirim S,ergül erkeç ö,özdek u Evaluation of the effects of ghrelin and metformin on sperm parameters, testosterone hormones, and immunohistochemical and immunofluorescent markers in an experimental diabetes model. Turkish Journal of Veterinary and Animal Sciences. 2023; 47(5): 469 - 477. 10.55730/1300-0128.4315
IEEE Belhan S,Huyut Z,yildirim S,ergül erkeç ö,özdek u "Evaluation of the effects of ghrelin and metformin on sperm parameters, testosterone hormones, and immunohistochemical and immunofluorescent markers in an experimental diabetes model." Turkish Journal of Veterinary and Animal Sciences, 47, ss.469 - 477, 2023. 10.55730/1300-0128.4315
ISNAD Belhan, Saadet vd. "Evaluation of the effects of ghrelin and metformin on sperm parameters, testosterone hormones, and immunohistochemical and immunofluorescent markers in an experimental diabetes model". Turkish Journal of Veterinary and Animal Sciences 47/5 (2023), 469-477. https://doi.org/10.55730/1300-0128.4315